IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR BREVARD COUNTY, FLORIDA. Case No.: __________________________________, Petitioner and , Respondent FINAL JUDGMENT OF DISSOLUTION OF MARRIAGE THIS CAUSE was heard by the Court on a final hearing for uncontested dissolution of marriage on {date} _________________________, 20____. The Court, having reviewed the file and heard the testimony, makes these findings of fact and reaches these conclusions of law: a. This Court has jurisdiction over the subject matter and the parties. b. At least one party has been a resident of the State of Florida for more than 6 months immediately before filing the Petition of Dissolution of Marriage. c. The marriage between the parties is irretrievably broken. THEREFORE it is ORDERED AND ADJUDGED: 1. The Marriage between the parties is dissolved and the parties are restored to the status of being single. 2. The Wifes former/maiden name of __________________________________ is restored. 3. The Court reserves jurisdiction over the parties and subject matter for all legal purposes. DONE AND ORDERED in Brevard County, Florida on {date} ______________________, 20____. _______________________________________ Circuit Judge Cc: Petitioner or their attorney (if represented) Respondent or their attorney (if represented)Name_____________________________ Name______________________________ Address___________________________ Address____________________________ _________________________________ ___________________________________ City State Zip City State Zip Law 1004 - rev. 12/2004 American LegalNet, Inc. www.USCourtForms.com